FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 347:193 July 18, 2002 Number 3 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

View larger version (60K): [in this window] [in a new window]   A 62-year-old former smoker presented with a 20-year history of breathlessness that worsened when she lay flat and particularly when she swam. Chest radiography (Panel A) showed an elevated left hemidiaphragm and a mediastinal shift to the right. Fluoroscopy revealed a paradoxical movement of the left hemidiaphragm. Spirometry demonstrated a forced vital capacity of 1.28 liters when the patient was supine that increased to 1.44 liters when she stood. Magnetic resonance imaging of the chest (Panel B) revealed a defect in the left hemidiaphragm (black arrows), with herniation of the stomach and colon (white arrow) into the chest. Congenital diaphragmatic . . . [Full Text of this Article]

 

This article has been cited by other articles:

• Bradley, C. T., Brasel, K. J. (2008). Core Competencies in Palliative Care for Surgeons: Interpersonal and Communication Skills. AM J HOSP PALLIAT CARE 24: 499-507 [Abstract]